GEORGE RICHARD STANTON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058759

License Status

EXPIRED

Business

Title

First Name

GEORGE

Middle

RICHARD

Last Name

STANTON

Business Name

GEORGE RICHARD STANTON MD

Original Issue Date

06/26/2010

Effective Date

06/26/2010

Expiration Date

06/25/2011

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/19/2011